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Herbs > Herb Interactions > Flashcards

Herb Interactions Flashcards

0
Q

Which herbs may increase thermogenesis and weight loss when combined with menthylxanthines such as caffeine and theophylline.

A

Lu cha (green tea)

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1
Q

Which herb can slow down the eliminations of phenytoin (Dilantin, phenytek)?

A

Hei hu jiao (piperis Fructus)

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2
Q

What herbs should be used with caution in those taking antihypertensive, antidiabetic, anti-hyperthyroid, more anti-seizure medications?

A

Qing Pi
Zhi shi
Chen Pi

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3
Q

Which may increase the absorption of propranolol?

A

Hei Hu Jiao

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4
Q

Which herbs when administered with the hypnotic drug buspirone (Buspar) May result in a hypomanic episode?

A

Guan Ye Lian Qiao (st.johns wort) and Yin Guo Ye (ginkgo Folium)

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5
Q

Which herbs have the potential to increase the sedative effects of barbiturates such as phenobarbital (Donnatal, Luminal) and opioids?

A

Long dan Cao
Qin jiao
Bai Shao
Zhi Zi

But not Chen Pi

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6
Q

Which vitamins maybe more rapidly metabolized when co-administered with phenobarbital ?

A

Vit D and K

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7
Q

Which herb can increase potassium loss and cause hypertension when used with diuretics?

A

Gan Cao

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8
Q

Which herbs can potentiate anticoagulant and anti platelet effects in patients taking these medications?

A 
Ban Lan gen
Chi Shao
Bai Shao
Tao Ren
Chuan xiong
Pu Huang
Ding Xiang
DU Huo
E Zhu
Ge gen
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9
Q

Which herb may potentiate the action of cardiac glycosides such as digoxin (Digitek, Lanoxicaps, Lanoxin) used in the treatment of congestive heart failure, atrial fibrillation, and tachycardia.

A

Shan zha

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10
Q

Which vitamin increases the metabolism of levodopa, reducing its effectiveness?

A

Vitamin B6

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11
Q

Long term for excessive use of corticosteroids

A

First cause Chi and yin vacuity followed by yin and yang vacuity

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12
Q

Which herb may potentiate cholesterol lowering agents such as Lipitor, Crestor, and Zocor?

A

Hu Lu Ba (fenugreek)

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13
Q

Which supplement has been found to reduce the adverse side effects of statins such as Lipitor, Crestor, and Zocor?

A

Co Q 10

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14
Q

Which may potentiate cholesterol lowering agents, may potentiate antiplatelets and anticoagulants, and may lower plasma glucose levels?

A

Garlic

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15
Q

Which can decrease the effectiveness of the anti-viral indinavir (Crixivan).

A

Guan Ye Lian Qiao (St. johns wort)

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16
Q

Which reduces blood sugar levels in diabetic patients treated with sulfonylureas (Diabenese) or metformin (glucovance)?

A

Xi yang Shen

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17
Q

Which herb potentiates the effects of amoxicillin and ampicillin

A

Huang Qin

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18
Q

Which may increase blood pressure and fluid retention when used with oral contraceptives?

A

Gan Cao

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19
Q

The side effects of thyroid supplements such as Synthroid Levothroid, and Levoxyl are arrhythmia, hypertension, insomnia, anxiety, fatigue, headache, and irritability -

A

Yang repletion with yin vacuity

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20
Q

The effect of dang gui on estrogen is

A

There is controversy - evidence suggests none

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21
Q

Which may interfere with the effectiveness of oral contraceptives for just around and hormone replacement therapy?

A

Man jing Zi

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22
Q

All of the following herbs lower plasma glucose levels and potentiate antidiabetic medications and cause hypoglycemia.

A

Bai Shao
Cang er Zi
Niu bang Zi

Not man jing Zi

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23
Q

Long-term use of aspirin is known to cause burning soreness tenderness and inflammation of the town. this suggests

A

Damage to blood and yin resulting in empty heat

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24
Q

Which nerve may have positive inotropic (affects muscle contraction ) and chronotropic (affects heart rate) effect and should be used with caution on patients on antiarrhythmic medication?

A

Fu Zi

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25
Q

The side effects of ace inhibitors such as Vasotec captor pril, and Capoten are hypotension cough maculopapular rash sore throat and fever

A

Yin vacuity with vacuity heat in blood

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26
Q

Which herbs may cause reduced serum levels of estrogen?

A

Fan xi eye

27
Q

Which herbs potentiates anticoagulants and antiplatelet effects of drugs such as warfarin and should be used with caution.

A

Dan Shen

28
Q

Herbs that can lower plasma glucose levels are

A

Cang zhu
Gan Cao
Di Gu Pi
Bai Shao

29
Q

Which herb is contraindicated when taking ace inhibitors for hypertension?

A

Xia Ku Cao

30
Q

A patient taking digoxin will have a drug interaction with

A

Gan Cao

31
Q

________ has a synergistic effect with erythromycin used for tempeterature and sore throat.

A

Ju Hua

32
Q

Gui Zhi synergistically interacts with what type of drugs?

A

Diuretics

33
Q

Which herb does not interact with coagulants?

A

Cang zhu

34
Q

Which of the following herbs has the FDA issued a warning linking it to kidney failure and cancer

A

Guang fang Ji

35
Q

Gui Zhi synergistically interacts with

A

Antibiotics , antiviral

36
Q

Patients taking interferon should not take ________due to risk of pneumonia.

A

Chai hu

37
Q

Glucotrol taken to control diabetes may interact with

A

Dan Shen
Cang Zhu and Ge gen
Gou qi Zi and di Gu Pi
Mai ya

38
Q

If a patient is sensitive to it, this herb can worsen their condition

A

Gan Cao

39
Q

Dan Shen is synergistic with which?

Coumadin
Albuterol
Naproxen

A

Coumadin

40
Q

Pu Huang opposes

A

Coumadin

41
Q

DU Zhong does not have a synergistic effect with antibiotics. These herbs, however, do…

A

Gui Zhi
Ju Hua
Sheng Ma
Zhi mu

42
Q

Zhi mu is the least likely to interact with anti-hypertensive drugs, these others are more likely…

A

DU Zhong
Ye Ju Hua
Xia Ku Cao

43
Q

A patient is taking the narcotic analgesic OxyContin due to an injury you want to treat him for a damp heat condition which should you be cautious with

A

Long dan Cao - is associated with drowsiness and sedation

44
Q

A patient is taking the barbiturate phenobarbital. which herb requires caution

A

Zhi Zi - has a sedative effects and can have a synergistic interaction with barbiturates increasing sleeping time

45
Q

Yi mu Cao can increase the effect of

A

Pitocin (oxytocin) - strengthens contractions during labor and can also cause uterine contractions

46
Q

Patient is taking the diuretic aquazide(hydrochlorothiazide) one needs to be cautious with which type of Chinese herbs?

A

Promote urination and astringent herbs

47
Q

San Leng and e Zhu are contraindicated during pregnancy what effect does taking these herbs with Coumadin have?

A

Additive and or synergistic these herbs promote blood circulation and therefore are synergistic with the blood thinner Coumadin

48
Q

Shan zha has a synergistic effects with which of the following drugs

Celebrex Clarinex Lipitor or Zoloft?

A

Lipitor is a cholesterol-lowering drug. Shan zha also reduces blood cholesterol levels

49
Q

Patient is taking the antibiotic levofloxacin which is causing diarrhea as a side effect which requires caution?

A

Sheng di Huang - antibiotics have a bitter taste clear heat toxins and can damage the spleen and stomach causing diarrhea as a side effect. Cindy Wong is contraindicated in patients with diarrhea herbs that may be used in the treatment of infections and worsen diarrhea should be used cautiously with antibiotics these include Yin Chen Hao, da Huang, Niu bang Zi, Shan Dou gen

50
Q

Xian He Cao (herbal agrimony pilosae) can interfere and reverse the side effects of the anticoagulant Warfarin (Coumadin) because the herb

A

Contains Vitamin k
Vitamin K plays a factor in clotting. Coumadin is a vitamin K antagonist.
Xian He Cao increases the platelet count to stop bleeding

51
Q

Wu Wei Zi has what effect gastric secretion?

A

Reduce

52
Q

Ma Huang should not be taken with

A

Beta blockers
The effect of beta blockers may be reduced because Ma Huang increases levels of norepinephrine

Also avoid it with ephedrine, theophylline and MAOI

53
Q

Which may damage the spleen Chi there by worsening the side effect of the antibiotic Zithromax

A

Long dan Cao

54
Q

Shan zha should be used cautiously with which drug?

A

Lanoxin

both have marked cardiotonic effects

55
Q

Shan zha has what effect of gastric secretion?

A

Increase

56
Q

Dan Shen significantly increases the effect of what drug

A

Warfarin

57
Q

How long should Ma Huang be avoided after stopping mono amine oxidase inhibitor’s which are used in the treatment of Parkinson’s disease

A

2 weeks

58
Q

Which nerve may cause hypertension arrhythmias and hyperpyrexia when used with mono amine oxidase inhibitor’s such as Rasagiline and SElegiline that are used to treat Parkinson’s disease?

A

Ma Huang

59
Q

Which may inhibit serotonin reuptake and may cause serotonin syndrome when used in conjunction with SSRIs such as Paxil, Prozac and Zoloft

A

Guan Ye Lian Qiao (st. John’s wort)

60
Q

Which may antagonize the effects of antihypertensives

A

Ma Huang

61
Q

What type of drug can block the possibility of hypertension and arrhythmias that can be caused by Ma Huang?

A

Anti depressants

62
Q

Which nerd used in heavy doses and over the long term can aggravate extrapyramidal symptoms ( Extreme restlessness involuntary movements and uncontrollable speech) when combined with antipsychotic or neuroleptic medications?

A

Bing lang

63
Q

Which herb may potentiate the effects of MAOI’s

A

Yin Guo Ye (ginkgo Folium)

64
Q

Which herb the side effects of caffeine such as agitation tremors and insomnia

A

Ma Huang

65
Q

What can cause ephedrine toxicity when taking Ma Huang?

A

Aunt acid medications

Herbs (6 decks)

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